In a routine urine test, Librium will show up as benzodiazepine. It stays in urine for up to 6 weeks since the last dose, mainly because chlordiazepoxide is excreted through urine. Requiring a saliva test for Librium is uncommon, but some agencies and employers might use it.
The drug can be detected in saliva for up to 10 days. A hair drug test has the most extended detection window, compared to blood, saliva, and urine tests, which only detect current or very recent use. Although an uncommon test, it might be used when chlordiazepoxide is not likely to be seen using other test methods. Hair tests can detect the substance for up to 90 days.
Librium withdrawal symptoms are noticeable after an abruptly lowering chlordiazepoxide dose or stopping the medication. These symptoms are more likely to happen to users who abuse Librium and have become dependent on it.
As some withdrawal symptoms can be severe and even life-threatening, proper medical care and monitoring are required. Prolonged use of chlordiazepoxide will lead to more intense and lengthier symptoms. Users who had chlordiazepoxide for more than three weeks are expected to complain about the most common Librium withdrawal symptoms. Delirium tremens, when patients become confused and disoriented, are commonly observed among users of high doses for a long time.
There are accompanying symptoms like anxiety, decreased attention span, and hallucinations. Typically, the Librium withdrawal timeline is between 1 to 7 weeks , peaking during the 2nd and 3rd weeks. However, heavy users may end up struggling for months. Most users will start feeling restless or anxious within 24 hours after the last dose of chlordiazepoxide.
For others, it takes at least a week before the onset of symptoms. Agitation, increased heart rate, loss of appetite, and sweating are common during this stage.
During the next weeks of Librium detox, the symptoms peak. One may start feeling more uncomfortable symptoms like stomach cramping, insomnia, nausea, dysphoria, and difficulty concentrating. In addition, heavy users may have hallucinations, tremors, psychosis, and seizures. During these weeks, most symptoms are manageable, with some already subsided.
While there may still be anxiety, depression, and cravings, the intensity should be decreasing. Most Librium withdrawal symptoms disappear at this stage, but patients may continue to experience cravings and some psychological symptoms.
Anxiety may still suddenly reappear even after one has gone a long while free of any symptoms. It is known as protracted withdrawal, and it will only subside after abstinence for a long time.
Stopping Chlordiazepoxide use abruptly is dangerous to health, posing numerous threats. It should be tapered off slowly during Librium detox.
How to stop taking chlordiazepoxide depends on the individual case. Despite no specific tapering schedule, there are approved general recommendations on how to stop benzodiazepines.
Librium detox at home is not recommended. Instead, a medical detox where a physician or an addiction specialist supervises the patient is the safest way to come off chlordiazepoxide. This approach will help keep other serious withdrawal effects at bay.
Chlordiazepoxide withdrawal can also be managed using certain medications during detox. A doctor may prescribe antidepressants or beta-blockers to help alleviate depression and anxiety. Anticonvulsants are also effective in managing benzodiazepine withdrawal in general if the patient is not dependent on other substances.
Carbamazepine and pregabalin are commonly used. Flumazenil can help patients rapidly switch to a lower dose or to abstain without significant withdrawal symptoms. All medications should be administered with the supervision of a healthcare professional, as low doses may still lead to seizures. Librium withdrawal protocol typically involves treatment in a safe and controlled environment like a drug rehab facility. Such centers ensure that patients are closely monitored by medical professionals while coming off chlordiazepoxide.
A healthcare team can help control uncomfortable physical symptoms and provide emotional support during the addiction treatment. Also, Librium detox at a special center is just the initial step to recovery. These techniques help build coping skills for the future and prevent relapse.
Librium is a drug that some people abuse, and it can be detected on a standard 5-panel drug test. The most effective way to get rid of it from your system is to stop taking it. As benzo, Chlordiazepoxide can lead to physical dependence and addiction, resulting in Librium withdrawal symptoms. Any person with an addiction can find help in a rehab center.
There, the staff of medical workers provides all levels of care and treatment options to fight addiction to benzodiazepines. Olivier George is a medical writer and head manager of the rehab center in California. He spends a lot of time in collecting and analyzing the traditional approaches for substance abuse treatment and assessing their efficiency. He has a particular interest in psychopharmacology, nutritional psychiatry, and alternative treatment options involving particular vitamins, dietary supplements, and administering auricular acupuncture.
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If you have any concern that our content is inaccurate or it should be updated, please let our team know at [email protected]. Last Updated: August 3, Create a personalised ads profile. Select personalised ads. Apply market research to generate audience insights. Measure content performance. Develop and improve products. List of Partners vendors. Librium chlordiazepoxide is a type of sedative known as a benzodiazepine used to treat anxiety disorders and alcohol withdrawal, among other things.
Food and Drug Administration FDA in , but its popularity has waned in recent years due to the high risk of dependence and addiction. As with other benzodiazepines like Xanax alprazolam , Klonopin clonazepam , and Valium diazepam , Librium has a relatively long half-life, and the time it takes to eliminate the drug from the system can vary from one person to the next.
Once you gradually build up to peak concentrations in the blood, you can switch to a lower dose. When stopping Librium, the time it takes to eliminate all traces of the drug from the body can vary based upon a number of factors, including:. All of these factors contribute to how quickly or slowly you eliminate Librium from the system. Librium is metabolized by the liver and excreted in urine. If your liver is in any way impaired, the clearance of the drug will also be impeded.
This can lead to variations in the drug half-life. Age also plays a role because liver function tends to wane as we age. Drug clearance is also influenced by your body mass index BMI , with obese people BMI 30 and above often taking twice as long to eliminate Librium compared to those of normal weight BMI between The higher the dosage and period of usage, the longer it will take to clear Librium from the body. Those who never quite reach peak concentration will invariably achieve clearance faster than those who do.
Beyond the drug itself, Librium clearance may be affected by other drugs you are taking. Librium is primarily cleared from the body with an enzyme known as cytochrome P CYP that metabolizes toxins in the liver. If other drugs utilize CYP for clearance, this will naturally alter the rate of elimination of both drugs simply because there is less enzyme to "go around. Genetics also plays a role in that certain genetic anomalies can impede the synthesis of amino acids, the building blocks of enzymes.
This can affect the level of CYP metabolism and, in turn, the elimination of Librium from the body. Some tests are able to detect Librium well after drug levels have dropped to undetectable levels for others.
If you decide to stop taking Librium or have developed a dependence on the drug and need to detox , you should only do so under the direction of your prescribing doctor. Some of these symptoms, like depression and insomnia, can persist for more than a month. To mitigate the risk, doctors will formulate a tapering process wherein the Librium dose is progressively reduced over the course of several weeks.
Even if you've only been on Librium for a few weeks, tapering is still advised to reduce the risk of withdrawal symptoms. To help speed the process, you can drink a lot of water to encourage the clearance of the drugs through the kidneys.
Exercise can help speed your natural metabolism but should be advised under the care of a doctor. Excessive exercise, however, is not recommended, as it could exacerbate some of your withdrawal symptoms. Because Librium is a benzodiazepine , extra care should be taken if an opioid drug is co-prescribed for pain. The FDA has found serious risks associated with the co-administration of these drugs, including the potentially life-threatening depression of the central nervous system.
Because of these risks, the FDA has issued its strongest warning on opioid and benzodiazepine labels. The combined use of these drugs may result in respiratory arrest and death.
Alcohol can trigger the same effects and should be avoided if you taking Librium. If you suspect a Librium overdose , call or the National Poison Control Center at Learn the best ways to manage stress and negativity in your life. Updated July Juergens J. Addiction Center. Librium Symptoms and Warning Signs.
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